Not Yet RecruitingPhase 3

Echo-guided Scalp Blocks and Incidence of Postoperative Pain in Scheduled Supratentorial Intracranial Surgery.

France230 participantsStarted 2026-01

Plain-language summary

Up to 30% of patients undergoing intracranial surgery present moderate to severe pain. In this type of surgery, the restriction of the pharmacopoeia, which goes against the concept of multimodal analgesia, results in the important use of opioids not without consequences in terms of complications. Numerous studies have highlighted the benefits of scalp blocks in postoperative pain. The originality of this study lies firstly in the fact that the scalp blocks will be guided by ultrasound and secondly, the incidence of severe pain after scalp blocks will be evaluated

Who can participate

Age range18 Years

SexALL

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Inclusion Criteria: * Patient managed in the neurosurgical unit for supratentorial intracranial surgery. * Person affiliated or beneficiary of a social security plan. * Free, informed, and written consent signed by the participant and the investigating physician (at the latest on the day of inclusion and before any examination required by the research). Exclusion Criteria: * Surgical procedure under awake surgery (systematic realization of scalp blocks necessary) * Aphasia of comprehension preoperatively or expected postoperatively or any other neurological impairment making self-evaluation of pain impossible. * Contraindication to the use of local anesthetics: allergy or history of intoxication to local anesthetics * Contraindication to adrenaline infiltration: severe ventricular rhythm disorders, severe obstructive cardiomyopathy, unstable coronary insufficiency, hypersensitivity to adrenaline. * Chronic pain patient or patient with daily preoperative consumption of morphine * Pregnant or breast-feeding woman * Patient under legal protection (persons deprived of liberty or under guardianship)

What they're measuring

Intense post-operative pain

Timeframe: up to 6 hours after extubation (day 0)

Trial details

NCT IDNCT07149077

SponsorUniversity Hospital, Bordeaux

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2027-10

Contact for this trial

Grégoire Chadefaux, MD

+33 05 57 87 02 02 gregoire.chadefaux@chu-bordeaux.fr